Studies

Complications & Special Techniques

26.1% of initially phakic eyes underwent cataract surgery postoperatively. A quarter of them within one month.

The analysis of the risk factors confirmed that the use of a trocar, the type of gas and higher concentration of gas are the major risk.

Retinal detachment occurred in 3.6% of cases.

Macular hole re operation was performed in 28.3% of cases of open hole, but the results of it were not collected.

This is the table of all the intra-operative complications reported.

Retinal tears occurred in 3.2% of cases. The risk analysis of a retinal tear confirmed that trocars are protective, while a complete vitrectomy and large posterior hyaloid removal are risky.

You remember that the study required to report the use of special techniques. Among them the ILM flap is worthy to mention. It has been used in 6% of cases, as you see from the graph mostly in late stages and chronic holes.

In this group the success rate of ilm flap is high and significant.

Also visual acuity improves in eyes treated with the ILM inverted flap technique.

The conclusions of the study are the following: It is important to operate early; the dye improves anatomical success but not visual success; every tamponade works very well (even air); positioning needs further studies; the inverted ILM flap maybe a promising technique for large holes.